Why does tuberculosis, a disease which is both curable and
preventable, continue to produce over 50,000 new cases a year in
South Africa, primarily among blacks? In answering this question
Randall Packard traces the history of one of the most devastating
diseases in twentieth-century Africa, against the background of the
changing political and economic forces that have shaped South
African society from the end of the nineteenth century to the
present. These forces have generated a growing backlog of disease
among black workers and their families and at the same time have
prevented the development of effective public health measures for
controlling it. Packard's rich and nuanced analysis is a
significant contribution to the growing body of literature on South
Africa's social history as well as to the history of medicine and
the political economy of health.
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